| NPI | 1912272139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET LORENE THURBER President 734-737-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801086331) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |